Northwest Behavioral Life Skills

NPI 1407061831 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1407061831
Enumeration Date 05/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CRAIG RICHARD CRAIG
Position MANAGER
Phone (208) 765-4509
Fax (208) 765-2558
Practice Location
1620 NW BLVD. SUITE 201-C
COEUR D'ALENE ID, 83814-2488, US
Phone (208) 765-4509
Fax (208) 765-2558
Business Location
1620 NW BLVD. SUITE 201-C
COEUR D'ALENE ID, 83814-2488, US
Phone (208) 765-4509
Fax (208) 765-2558
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Northwest Behavioral Life Skills NPI is 1407061831, taxonomy code is 251S00000X Northwest Behavioral Life Skills physically located at 1620 Nw Blvd. Suite 201-c, Coeur D'alene ID, 83814-2488. NPI Number 1033115704 has the healthcare provider type.

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1407061831 NPI number is provided on an as is basis without warranty of any kind. 1407061831 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Behavioral Life Skills are for informational purposes only.